Organization
NIRVANA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRACHI VARTIKAR (OWNER)
(352) 328-7403
Entity
Organization
Contact information
Practice address
3704 CHEEK SPARGER ROAD #100, BEDFORD, TX 76021
(352) 328-7403
Mailing address
3704 CHEEKSPARGER ROAD #100, BEDFORD, TX 76021
(352) 328-7403
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
25677
TX
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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